NPI | 1811207608 |
---|---|
Former Name | KIRTI Y PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00628300) |
Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: NJ 27OA00628300) |
152WV0400X Optometrist Vision Therapy (Licence: NJ 27OA00628300) | |
Enumeration Date | 2010-10-14 |
Last Update Date | 2016-10-25 |